Charakteristik psychiatrischer Patienten in der Notaufnahme

Kropp, Stefan; Andreis, Christoph; Wildt, Bert Theodor te; Sieberer, Marcel; Ziegenbein, Marc; Huber, Thomas J.

doi:10.1055/s-2005-915330

Cited by 59 publications

(49 citation statements)

References 3 publications

(3 reference statements)

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“…These are primarily based on clinical presentation and on additional information relating to the background provided by the patient and accompanying persons. 16,20 It is important to point out that there were differences in the descriptions of the situations that had motivated the search for assistance and in the hypotheses formulated by the professionals. While the presence of psychiatrists in emergency services is in itself exceptional in Brazilian hospitals, it is essential that physicians and nurses working in these services are able to recognize the conditions behind the complaints, especially to differentiate between possible causes of agitation and behavioral changes, which may indicate organic diseases, use of psychoactive substances or psychotic and manic syndromes, among other causes.…”

Section: Discussionmentioning

confidence: 99%

Profile of patients attended as psychiatric emergencies at a university general hospital

et al. 2013

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CONTEXT AND OBJECTIVE: The prevalence of psychiatric conditions in clinical settings is high, particularly in emergency services. This is a challenge for healthcare professionals and an essential element in the functioning of the mental health network. The objective here was to describe the sociodemographic and clinical profile and the practices among patients treated psychiatrically in the Emergency Unit. DESIGN AND SETTING: Descriptive and quantitative study, conducted at Hospital das Clínicas (HC), Universidade Estadual de Campinas (Unicamp). METHODS: Sociodemographic data, reasons for attendance, diagnostic hypotheses and practices were analyzed. RESULTS: Psychiatric staff attended 1,835 cases over the study period, corresponding to 1465 patients. The patients were predominantly women (53.7%) and white (79.6%); their mean age was 37 years and 41.3% lived with their parents. The commonest reasons for attendance were depressive symptoms (28.1%), agitation (23.6%) and problems with psychoactive substances (19.5%). The commonest diagnoses were psychoactive substance-related disorders (23%) and depressive disorders (18.5%). 31.6% of the patients were referred to healthcare centers and 29.2% to specialized outpatient clinics, while 8.2% were hospitalized. CONCLUSIONS: This study emphasizes that it is important for professionals working in emergency service to have information about the patients' profile and the main reasons that lead them to seek psychiatric care, and to establish a diagnosis that will allow proper management at the emergency service and case referral. RESUMO CONTEXTO E OBJETIVO:A prevalência de quadros psiquiátricos em contextos clínicos é elevada, particularmente em serviços de emergência, representando um desafio para os profissionais da saúde e um elemento essencial no funcionamento da rede de saúde mental. Objetivou-se descrever o perfil sócio-demográfico, clínico e condutas para pacientes atendidos pela psiquiatria na Unidade de Emergência.

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Section: Discussionmentioning

confidence: 99%

Profile of patients attended as psychiatric emergencies at a university general hospital

et al. 2013

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“…7-10 % in Notaufnahmen [10] und bis zu 15 % im Notarztdienst [16] stellen psychiatrische Notfälle eine Herausforderung für jeden klinisch tätigen Arzt dar. Sowohl in der präklinischen Notfallsituation als auch in den unterschiedlichen klinischen Bereichen bedarf es daher nichtpharmakologischer Kompetenzen, z.…”

Section: Häufigkeitunclassified

“…In einer Analyse der psychiatrischen Störun-gen in der Notaufnahme der medizinischen Hochschule Hannover fand sich ein Anteil von 22 % für F2-Störungen nach ICD 10 (Schizophrenie, schizotype und wahnhafte Störungen). Hinzu kommen noch eine unbekannte Anzahl psychotischer Störungen durch psychotrope Substanzen und organische psychische Störungen [10].…”

Section: Häufigkeitunclassified

Psychose und Manie

Messer

Pajonk

2016

Notfall Rettungsmed

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“…9% seien psychiatrisch diagnose-und therapiebedürftig gewesen, nach Abzug von Intoxikationen und Suchterkrankungen etwa 7%. Der Anteil psychiatrischer Patienten liegt höher als der von Kropp et al festgestellte Wert von 7,7% [1], entspricht aber in etwa dem in anderen Ländern [3]. Diskrepanzen können z. T. mit erheblichen Unterschieden in der Untersuchungsmethode erklärt werden.…”

Section: Psychiatrische Patientenunclassified

Psychiatrische Versorgung in der Notaufnahme

Puffer

Messer²,

Pajonk

2012

Anaesthesist

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In the majority of participating EDs, diagnostic standards for PES were known but were not routinely applied. It has to be assumed that many psychiatric disorders, in particular suicide attempts and suicidal ideation are not discovered. In many EDs psychiatric knowledge was available but a psychiatric consultation was only rarely requested. Physicians in the ED report a high degree of legal uncertainty with psychiatric patients. The use of screening instruments is recommended.

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Charakteristik psychiatrischer Patienten in der Notaufnahme

Abstract: Psychiatric patients represent a large part of the general interdisciplinary ED. Data may support quality assurance and service planning.

Cited by 59 publications

References 3 publications

Profile of patients attended as psychiatric emergencies at a university general hospital

Profile of patients attended as psychiatric emergencies at a university general hospital

Psychose und Manie

Psychiatrische Versorgung in der Notaufnahme

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